Utilization Rev Nurse Coord , El Paso Health University Medical Center of El PasoUtilization Rev Nurse Coord , El Paso HealthEl Paso, TXStrong knowledge of utilization review in Medicaid HMO required, with working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement required. Ensures the Utilization Reviewers conduct a thorough and efficient review of each admission and continued stay while providing high quality health care in a cost effective manner.
Utilization Management Director, El Paso Health University Medical Center of El PasoUtilization Management Director, El Paso HealthEl Paso, TXPartners with healthcare providers to ensure appropriate and consistent administration of plan benefits through clinical review processes, including prior authorization, medical necessity determinations, out-of-network requests, and appropriate level-of-care decisions. Provides strategic leadership and oversight of El Paso Health’s Utilization Management (UM) program, including planning, development, implementation, and continuous quality improvement of integrated UM services across all lines of business.
Registered Nurse Navigator Population Health - HP Med Management Christus HealthRegistered Nurse Navigator Population Health - HP Med ManagementIrving, TXCare Coordination of Complex/Chronic conditions: Manages and coordinates care for patients with chronic conditions, complex medical needs, and assists with Discharge Planning: Helps plan and coordinate the discharge process for members leaving hospitals or long-term care facilities, ensuring a smooth transition to home or another care setting. Care Coordination - Transitions of Care: Outreach to patients that qualify for Transitions of Care (IP Discharge) and ensure they understand their medications, educate patients on managing their conditions and knowing when to seek help, stressing the importance of scheduling and attending follow up appointments, and teaching them to recognize the signs that their condition might be worsening.
Nurse Case Manager University HealthNurse Case ManagerBoerne, TXHe/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs. The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care.
Newstaff - Registered Nurse (RN) - Director OR - Operating Room - $30-42 per hour Baptist Health System - San Antonio TXstaff - Registered Nurse (RN) - Director OR - Operating Room - $30-42 per hourSan Antonio, TX$30–$42 / hourThese responsibilities include: budget responsibility; efficient/effective resource utilization; recruitment and effective/efficient management of assigned staff; achieving quality outcomes; performance improvement; monitoring of quality and quantity of services; maintaining positive working relationships with staff and System departments and managers, and purchasing and. Demonstrates dedication to meeting the expectations and requirements of internal and external customers; gets first-hand customer information and uses it for improvements in service, talks and acts with customers in mind; establishes and maintains effective relationships with customers Role models Studer Principles and “must haves”.
Nurse Manager of Critical Care ICU Methodist Hospital Stone OakNurse Manager of Critical Care ICUCibolo, TXSeeking a Nurse Manager of Critical Care ICU who is responsible to the Director, Vice President and/or the Chief Nursing Officer for facilitating, coordinating and delegating the delivery of patient care to a defined group of patients during their entire hospitalization period. S/he is responsible 24 hours a day for the staffing and management of patient care in each of his/her units, for promoting the practice of professional nursing in a specified patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill those responsibilities.
Newstaff - Registered Nurse (RN) - Director Labor and Delivery - $30-42 per hour Baptist Health System - San Antonio TXstaff - Registered Nurse (RN) - Director Labor and Delivery - $30-42 per hourSan Antonio, TX$30–$42 / hourThese responsibilities include: budget responsibility; efficient/effective resource utilization; recruitment and effective/efficient management of assigned staff; achieving quality outcomes; performance improvement; monitoring of quality and quantity of services; maintaining positive working relationships with staff and System departments and managers, and purchasing and maintaining equipment. Demonstrates dedication to meeting the expectations and requirements of internal and external customers; gets first-hand customer information and uses it for improvements in service; talks and acts with customers in mind; establishes and maintains effective relationships with customers.
Newstaff - Registered Nurse (RN) - Director ED - Emergency Department - $30-42 per hour Baptist Health System - San Antonio TXstaff - Registered Nurse (RN) - Director ED - Emergency Department - $30-42 per hourSan Antonio, TX$30–$42 / hourBaptist Health System - San Antonio TX is seeking a Registered Nurse (RN) Director ED - Emergency Department for a nursing job in San Antonio, Texas. effective/efficient management of assigned staff; achieving quality outcomes; performance improvement; monitoring of quality and.
Nurse Manager of Critical Care ICU Methodist HospitalNurse Manager of Critical Care ICUNew Braunfels, TXIn addition, Methodist Hospital not only received a Primary Stroke Center designation from The Joint Commission, but has also received a Comprehensive Stroke Center Certification from DNV GL Healthcare, designating the facility as offering the most advanced stroke treatment available in a given geographic area. We are proud to be the largest provider of the lifesaving ECMO Program in San Antonio, are home to the largest robotics program in the world, and our Adult Blood Cancer and Stem Cell Transplant unit has become the first program to receive FACT Accreditation in North America.
Nurse Manager of Critical Care ICU Methodist Hospital NortheastNurse Manager of Critical Care ICULive Oak, TXSeeking a Nurse Manager of Critical Care ICU who is responsible to the Director, Vice President and/or the Chief Nursing Officer for facilitating, coordinating and delegating the delivery of patient care to a defined group of patients during their entire hospitalization period. S/he is responsible 24 hours a day for the staffing and management of patient care in each of his/her units, for promoting the practice of professional nursing in a specified patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill those responsibilities.
NewRegistered Nurse Vascular Outpatient Procedure Heart Hospital of AustinRegistered Nurse Vascular Outpatient ProcedurePflugerville, TXPatients with a broad range of illnesses, admission/assessment of patients, medication administration, direct and indirect patient care, circulating diagnostic and interventional cases, scrubbing diagnostic/interventional procedures, and procedure documentation/hemodynamic monitoring. With innovative programs like the Executive Wellness Program and the Advanced Heart Failure Program, including cutting-edge therapies such as extracorporeal membrane oxygenation (ECMO) and the left ventricular assist device (LVAD), patients receive world-class treatment.
Trauma Nurse Manager St. David's South Austin Medical CenterTrauma Nurse ManagerRound Rock, TXKey programs include a nationally accredited oncology program featuring the region’s only adult Transplant and Cellular Therapy Program; a Level II trauma center; advanced cardiac, stroke, and orthopedic services; full‑service maternity and newborn care; and four community emergency centers in Bee Cave and Bastrop. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNFort Worth, TXOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
Registered Nurse (RN) - Hiring Now! Methodist Hospital Stone OakRegistered Nurse (RN) - Hiring Now!San Antonio, TXSeeking a Nurse Manager of Critical Care ICU who is responsible to the Director, Vice President and/or the Chief Nursing Officer for facilitating, coordinating and delegating the delivery of patient care to a defined group of patients during their entire hospitalization period. S/he is responsible 24 hours a day for the staffing and management of patient care in each of his/her units, for promoting the practice of professional nursing in a specified patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill those responsibilities.
Newstaff - Registered Nurse (RN) - ICU - Intensive Care Unit - $35-40 per hour Perm Staff Jobsstaff - Registered Nurse (RN) - ICU - Intensive Care Unit - $35-40 per hourSan Antonio, TX$35–$40 / hourS/he is responsible 24 hours a day for the staffing and management of patient care in each of his/her units, for promoting the practice of professional nursing in a specified patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill those responsibilities. Seeking a Nurse Manager of Critical Care ICU who is responsible to the Director, Vice President and/or the Chief Nursing Officer for facilitating, coordinating and delegating the delivery of patient care to a defined group of patients during their entire hospitalization period.
Case Manager; RN University Medical Center of El PasoCase Manager; RNEl Paso, TX4. Current working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. Work with physicians, Social Workers with the interdisciplinary team to facilitate clinical pathways and achievement of desired treatment outcomes.
NewMgr. Case Management (Surgical Hospital) University Medical Center of El PasoMgr. Case Management (Surgical Hospital)El Paso, TXProvides direct oversight and accountability for real-time patient status determination at point of entry (emergency department, direct admissions, and transfers), ensuring compliance with CMS regulations, the two-midnight rule, and evidence-based criteria (InterQual/MCG) to optimize reimbursement, minimize denials, and ensure an appropriate level of care. Collects and analyzes data to implement departmental and interdepartmental performance improvement initiatives that improve resource utilization, reimbursement accuracy, regulatory compliance, and organizational efficiency.
Case Mgr. Medicare Advantage Integrated, El Paso Health (RN or Licensed Social Worker) University Medical Center of El PasoCase Mgr. Medicare Advantage Integrated, El Paso Health (RN or Licensed Social Worker)El Paso, TXServes as a member advocate, educating and assisting members, caregivers, medical consenters, and partner agencies, including Health and Human Services (HHSC) and Department of Family and Protective Services (DFPS), in navigating the healthcare system, accessing available services and supports, and understanding their rights throughout the process. Serving members enrolled in both Medicare and Medicaid through El Paso Health, this position coordinates benefits across both programs while working with Primary Care Providers (PCPs), specialists, and other providers to remove barriers to care.
RN, Charge Nurse - Fulltime Night Shift ContinueCare Hospital at Hendrick MedicaRN, Charge Nurse - Fulltime Night ShiftAbilene, TXEnsures patient assignments are correct, assists with treatments or administration of medications as necessary, informs physicians of changes in patient's condition, reviews care of all patients, and acts as overall leader and resource person for the staff. Complete shift report at designated times and relay all pertinent patient information in a concise and efficient manner to oncoming charge nurse keeping the Nurse Manager or others as appropriate informed about status of patients and related matters.
Newstaff - Registered Nurse (RN) - Trauma - $35-48 per hour Perm Staff Jobsstaff - Registered Nurse (RN) - Trauma - $35-48 per hourAustin, TX$35–$48 / hourKey programs include a nationally accredited oncology program featuring the region’s only adult Transplant and Cellular Therapy Program; a Level II trauma center; advanced cardiac, stroke, and orthopedic services; full‑service maternity and newborn care; and four community emergency centers in Bee Cave and Bastrop. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Newstaff - Registered Nurse (RN) - Trauma - $45+ per hour Perm Staff Jobsstaff - Registered Nurse (RN) - Trauma - $45+ per hourCedar Park, TXKey programs include a nationally accredited oncology program featuring the region’s only adult Transplant and Cellular Therapy Program; a Level II trauma center; advanced cardiac, stroke, and orthopedic services; full‑service maternity and newborn care; and four community emergency centers in Bee Cave and Bastrop. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
NewTravel Nurse RN - Nurse Manager in Houston, TX TravelNurseSourceTravel Nurse RN - Nurse Manager in Houston, TXHouston, TXThis mid-level leadership role is responsible for directing case management operations across the ED and OBS units, with accountability for utilisation management, discharge planning, and compliance. Current and valid Registered Nurse licence in the state of Texas OR Licensed Master Social Worker (LMSW) LCSW preferred; Case Manager Certification required .
Nurse Case Manager - CFHP University HealthNurse Case Manager - CFHPSan Antonio, TXResponsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members. Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible.
Registered Nurse (RN) - Hiring Now! Methodist HospitalRegistered Nurse (RN) - Hiring Now!San Antonio, TXIn addition, Methodist Hospital not only received a Primary Stroke Center designation from The Joint Commission, but has also received a Comprehensive Stroke Center Certification from DNV GL Healthcare, designating the facility as offering the most advanced stroke treatment available in a given geographic area. We are proud to be the largest provider of the lifesaving ECMO Program in San Antonio, are home to the largest robotics program in the world, and our Adult Blood Cancer and Stem Cell Transplant unit has become the first program to receive FACT Accreditation in North America.
Laboratory Director HCA Houston Healthcare WestLaboratory DirectorHouston, TXOur infrastructure includes a fully automated esoteric core laboratory in Fort Lauderdale, a histology and microbiology operation in Largo, Florida, and a network of hospital-based rapid-response laboratories present in four HCA Healthcare divisions in Florida. HCA Healthcare Laboratory Services is a full-service provider of clinical laboratory and anatomic pathology services, providing hospitals, physicians, and clients with timely diagnostic information for patient care.
Registered Nurse (RN) - Hiring Now! Methodist Hospital NortheastRegistered Nurse (RN) - Hiring Now!Live Oak, TXSeeking a Nurse Manager of Critical Care ICU who is responsible to the Director, Vice President and/or the Chief Nursing Officer for facilitating, coordinating and delegating the delivery of patient care to a defined group of patients during their entire hospitalization period. S/he is responsible 24 hours a day for the staffing and management of patient care in each of his/her units, for promoting the practice of professional nursing in a specified patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill those responsibilities.
Mgr. Case Management University Medical Center of El PasoMgr. Case ManagementEl Paso, TXOversees those who provide direct case management services to specific patient populations providing interventions to patients/families of varying ages with age related needs. Collects and analyzes data and implements departmental or inter-departmental performance improvement activities to improve the organization's efficiency.
NewTravel Nurse RN - Medical-Surgical in Harlingen, TX TravelNurseSourceTravel Nurse RN - Medical-Surgical in Harlingen, TXHarlingen, TXTravelNurseSource is working with Concentric Healthcare Staffing to find a qualified Med/Surg RN in Harlingen, Texas, 78550! Why Join Us Opportunity to work in a dynamic Medical Surgical unit with a focus on quality patient care.
NewTravel Nurse RN - Labor & Delivery in San Antonio, TX TravelNurseSourceTravel Nurse RN - Labor & Delivery in San Antonio, TXSan Antonio, TXLocation: San Antonio, Texas, United States Employment Type: Full-time Salary Range: USD $96,000 $140,000 annually Seniority Level: Director. The Director plays a key role in fostering positive relationships with staff, medical teams, and system departments while driving performance improvement initiatives.
NewTravel Nurse RN - Psych in San Antonio, TX TravelNurseSourceTravel Nurse RN - Psych in San Antonio, TXSan Antonio, TXResponsibilities include budget management, resource utilization, recruitment and staff management, quality performance monitoring, and coordination with system departments. The role also performs Call Center Staff Nurse duties as needed and ensures quality outcomes and operational efficiency.
NewAssociate Medical Device Sales Representative Medical Sales CollegeAssociate Medical Device Sales RepresentativeThe Woodlands, TXMuch like the specialized technical certifications and self-funded training tracks required to enter fields like veterinary technology or nursing, this program requires a personal tuition investment from the candidate (with financing options and flexible payment plans available for qualified applicants). Pathway Requirement: Successful completion of the required Medical Sales College program (such as TotalOrtho, TotalOrtho+, or specialized diagnostic/orthopedic tracks) serves as the prerequisite industry baseline for candidates lacking direct field experience.
NewRegistered Nurse (RN) - ICU - Intensive Care Unit - $46+ per hour Perm Staff JobsRegistered Nurse (RN) - ICU - Intensive Care Unit - $46+ per hourUniversal City, TXS/he is responsible 24 hours a day for the staffing and management of patient care in each of his/her units, for promoting the practice of professional nursing in a specified patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill those responsibilities. Seeking a Nurse Manager of Critical Care ICU who is responsible to the Director, Vice President and/or the Chief Nursing Officer for facilitating, coordinating and delegating the delivery of patient care to a defined group of patients during their entire hospitalization period.
NewClinical Director - General Surgery CHRISTUS HealthClinical Director - General SurgerySan Antonio, TXSpecialized care includes orthopedic and surgical care with advanced spine surgery, Intensive Care, complex neurology for treating stroke and other neurovascular issues, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, women’s services, a newborn nursery, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, emergency services, and more. The campus also boasts an Outpatient Imaging Center, an Ambulatory Surgery Center, and four medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
NewClinical Director - Med surg/ER CHRISTUS HealthClinical Director - Med surg/ERWinnsboro, TXImplementing and monitoring programs and practices for the delivery of safe and efficient quality nursing care for patients and their families. Resolves conflicts in a wide variety of situations, such as workload allocation, schedule overlap etc.
Clinical Director - Cardiology Cath CHRISTUS HealthClinical Director - Cardiology CathCorpus Christi, TXCHRISTUS Spohn Hospital Corpus Christi - Shoreline overlooking Corpus Christi Bay is the largest and foremost acute care medical facility in the region, with a full range of diagnostic and surgical specialty services in cardiac, cancer, and stroke care. It is the leading emergency facility in the area with a Level II Trauma Center in the Coastal Bend, staffed with physicians and nurses specially trained in emergency services.
NewClinical Director - MedSurg/Cardiovascular IMC CHRISTUS HealthClinical Director - MedSurg/Cardiovascular IMCCorpus Christi, TXCHRISTUS Spohn Hospital Corpus Christi - Shoreline overlooking Corpus Christi Bay is the largest and foremost acute care medical facility in the region, with a full range of diagnostic and surgical specialty services in cardiac, cancer, and stroke care. It is the leading emergency facility in the area with a Level II Trauma Center in the Coastal Bend, staffed with physicians and nurses specially trained in emergency services.
Clinical Director - Perinatal Mother Baby Unit **Hiring Incentive Available** CHRISTUS HealthClinical Director - Perinatal Mother Baby Unit **Hiring Incentive Available**Corpus Christi, TXImplementing and monitoring programs and practices for the delivery of safe and efficient quality nursing care for patients and their families. Resolves conflicts in a wide variety of situations, such as workload allocation, schedule overlap etc.
Clinical Director - Emergency Department CHRISTUS HealthClinical Director - Emergency DepartmentCorpus Christi, TXImplementing and monitoring programs and practices for the delivery of safe and efficient quality nursing care for patients and their families. Resolves conflicts in a wide variety of situations, such as workload allocation, schedule overlap etc.
NewAdministrative Director Nursing - Ambulatory Surgery Center CHRISTUS HealthAdministrative Director Nursing - Ambulatory Surgery CenterSan Antonio, TXImplementing and monitoring programs and practices for the delivery of safe and efficient quality nursing care for patients and their families. Remains knowledgeable and shares main considerations and issues related to laws and regulations in the implementation of healthcare practices.
NewClinical Director - Cath Lab CHRISTUS HealthClinical Director - Cath LabTyler, TXImplementing and monitoring programs and practices for the delivery of safe and efficient quality nursing care for patients and their families. Resolves conflicts in a wide variety of situations, such as workload allocation, schedule overlap etc.
NewFacility Administrator Fresenius Medical CareFacility AdministratorHouston, TXDemonstrated leadership/Management skills, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making. SUPERVISION: · Responsible for all staff, which may include direct and indirect patient care staff, if incumbent does not possess a RN license, supervision of nursing staff will be provided by a charge nurse/director of nursing.
NewSpecialty Clinical Pharmacist II - Retail Pharmacy CHRISTUS HealthSpecialty Clinical Pharmacist II - Retail PharmacyCorpus Christi, TXCompletes critical patient monitoring and reviews patient profile/chart to identify, prevent, or mitigate drug-related problems, improper drug or dose selection, sub-therapeutic dosage, overdosage, adverse drug reactions, drug interactions, failure to receive drugs, untreated indications, medication use without an indication, and treatment failures. Pharmaceutical care services include but are not limited to assessing patient needs, incorporating age and disease-specific characteristics into drug therapy and patient education, adjusting care according to patient response, and providing clinical interventions to detect, mitigate, and prevent medication adverse events.
Hospital Laboratory Director HCA Houston Healthcare NorthwestHospital Laboratory DirectorHouston, TXOur infrastructure includes a fully automated esoteric core laboratory in Fort Lauderdale, a histology and microbiology operation in Largo, Florida, and a network of hospital-based rapid-response laboratories present in four HCA Healthcare divisions in Florida. HCA Healthcare Laboratory Services is a full-service provider of clinical laboratory and anatomic pathology services, providing hospitals, physicians, and clients with timely diagnostic information for patient care.
NewCare Coordinator University HealthCare CoordinatorBoerne, TXAt the front door of University Health, this role serves to screen patients needing placement in acute or observation beds for the purposes of correct status determinations, and the coordination of appropriate diversions to home or other level of care more appropriate for the services needed to be rendered. This position requires assertive clinical acumen and communication skills for serving in the liaison roles with medical staff, nursing, and patients and families.
NewCase Manager, PRN University Medical Center of El PasoCase Manager, PRNEl Paso, TX4. Current working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. Work with physicians, Social Workers with the interdisciplinary team to facilitate clinical pathways and achievement of desired treatment outcomes.
Director, Outpatient Clinical Dialysis - San Antonio, TX (Relocation Assistance Available) University HealthDirector, Outpatient Clinical Dialysis - San Antonio, TX (Relocation Assistance Available)San Antonio, TXWorking collaboratively with the Medical Director, Executive Director of Dialysis Services, physicians, and interdisciplinary teams, you will oversee daily clinical operations, quality outcomes, regulatory compliance, staff development, and patient care initiatives. Collaboration: Partner with physicians, Executive Leadership, multidisciplinary departments, and support services to improve operational efficiency and patient outcomes across outpatient dialysis services.
Therapist, Behavioral Health Woodland SpringsTherapist, Behavioral HealthConroe, TXOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Woodland Springs is located in Conroe, TX, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast.
Utilization Management Nurse II - Case Management - Full Time CHRISTUS HealthUtilization Management Nurse II - Case Management - Full TimeBeaumont, TXThey effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and Joint Commission regulations and guidelines related to UM. This Nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services.